| Acute gi blood loss imaging (78278) |
$5,408 |
$5,408 |
13.0× |
| Angio extremity unilateral (75710) |
$2,673 |
$2,673 |
0.8× |
| Angiogram extremity bilateral (75716) |
$2,673 |
$2,673 |
0.8× |
| Angrph cath f-up std tcat other than thrombylsis (75898) |
$1,804 |
$1,804 |
0.5× |
| Ankle 2 views (73600) |
$1,340 |
$1,340 |
14.7× |
| Arthrography knee lt (73580) |
$3,403 |
$3,403 |
9.3× |
| Arthrography wrist lt (73115) |
$3,532 |
$3,532 |
9.7× |
| Barium enema (74270) |
$3,068 |
$3,068 |
16.7× |
| Bone age studies (77072) |
$1,643 |
$1,643 |
15.0× |
| Bone imaging limited area (78300) |
$6,112 |
$6,112 |
14.6× |
| Bone survey complete (77075) |
$3,083 |
$3,083 |
28.2× |
| Bowel imaging (78290) |
$6,669 |
$6,669 |
16.0× |
| Brain image w/flow 4 + views (78606) |
$1,873 |
$1,873 |
3.3× |
| Cardiac shunt detection (78428) |
$5,282 |
$5,282 |
12.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$1,713 |
$1,713 |
9.4× |
| Clavicle complete (73000) |
$1,518 |
$1,518 |
16.7× |
| Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) |
$9,516 |
$9,516 |
52.0× |
| Contrast exam abdominl aorta (75625) |
$2,673 |
$2,673 |
0.8× |
| CT - st neck w&wo contr (70492) |
$10,942 |
$10,942 |
59.7× |
| CT abdomen and pelvis without and with contrast (74178) |
$23,351 |
$23,351 |
64.1× |
| CT abdomen and pelvis without contrast (74176) |
$18,870 |
$18,870 |
75.7× |
| CT abdomen w wo contrast (74170) |
$11,308 |
$11,308 |
61.7× |
| CT abdomen w/contrast (74160) |
$10,545 |
$10,545 |
57.6× |
| CT abdomen w/o contrast (74150) |
$9,208 |
$9,208 |
84.3× |
| CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) |
$21,621 |
$21,621 |
59.3× |
| CT angio abdom w/o & w/dye (74175) |
$13,777 |
$13,777 |
75.2× |
| CT angio abdominal arteries (75635) |
$25,025 |
$25,025 |
136.6× |
| CT angio hrt w/3d image (75574) |
$18,976 |
$18,976 |
52.1× |
| CT angiograph pelv w/o&w/dye (72191) |
$14,506 |
$14,506 |
79.2× |
| CT cervical spine w/contrast (72126) |
$9,859 |
$9,859 |
27.1× |
| CT cervical spine w/o contrast (72125) |
$9,571 |
$9,571 |
87.7× |
| CT chest w/contrast (71260) |
$9,640 |
$9,640 |
52.6× |
| CT extremity upper w & w/o contrast (73202) |
$9,952 |
$9,952 |
54.3× |
| CT head/brain with contrast (70460) |
$8,484 |
$8,484 |
46.3× |
| CT head/brain without and with contrast (70470) |
$9,091 |
$9,091 |
49.6× |
| CT heart contrast eval cardiac structure&morph (75572) |
$18,298 |
$18,298 |
50.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) |
$24,886 |
$24,886 |
273.8× |
| CT limited/localized follow up study (76380) |
$5,815 |
$5,815 |
64.0× |
| CT lower ext w/wo contrast (73702) |
$11,308 |
$11,308 |
61.7× |
| CT lower extremity w contrast (73701) |
$10,231 |
$10,231 |
55.9× |
| CT lower extremity w/o contrast unilateral (73700) |
$8,817 |
$8,817 |
80.8× |
| CT lumbar spine w/contrast (72132) |
$10,260 |
$10,260 |
28.2× |
| CT lumbar spine w/o contrast (72131) |
$8,425 |
$8,425 |
77.2× |
| CT lumbar spine w/o then w/ con (72133) |
$12,041 |
$12,041 |
65.7× |
| CT maxillofacial area w/o contrast (70486) |
$9,489 |
$9,489 |
86.9× |
| CT maxillofacial w/contrast (70487) |
$9,343 |
$9,343 |
51.0× |
| CT maxillofacial w/o then w/ con (70488) |
$9,952 |
$9,952 |
54.3× |
| CT orbit sella ear w/o con (70480) |
$8,145 |
$8,145 |
74.6× |
| CT orbit/ear/fossa w/o then w/ con (70482) |
$10,152 |
$10,152 |
55.4× |
| CT pelvis w & w/o contrast (72194) |
$12,041 |
$12,041 |
65.7× |
| CT pelvis w/o contrast (72192) |
$9,665 |
$9,665 |
88.5× |
| CT soft tissue neck w/contrast (70491) |
$9,854 |
$9,854 |
53.8× |
| CT soft tissue neck w/o contrast (70490) |
$9,571 |
$9,571 |
87.7× |
| CT spine cervical w/wo contrast (72127) |
$12,094 |
$12,094 |
66.0× |
| CT thoracic spine w/contrast (72129) |
$8,484 |
$8,484 |
46.3× |
| CT thoracic spine w/o contrast (72128) |
$9,631 |
$9,631 |
88.2× |
| CT thoracic spine w/o then w/ con (72130) |
$11,149 |
$11,149 |
60.9× |
| CT thorax lung cancer scr c- (71271) |
$6,749 |
$6,749 |
61.8× |
| CT thorax w/o contrast (71250) |
$8,456 |
$8,456 |
77.5× |
| CT thorax w/o then w/ contrast (71270) |
$11,105 |
$11,105 |
60.6× |
| CT upper extremity w/dye (73201) |
$8,992 |
$8,992 |
24.7× |
| CT upper extremity w/o contrast rt (73200) |
$7,810 |
$7,810 |
71.5× |
| CTA chest w/wo contrast (71275) |
$13,573 |
$13,573 |
74.1× |
| CTA head w contrast (70496) |
$11,555 |
$11,555 |
63.1× |
| CTA lower extremity w/wo contrast unilateral (73706) |
$13,777 |
$13,777 |
75.2× |
| Cta Neck (70498) |
$13,413 |
$13,413 |
73.2× |
| CTA upper extremity w/wo contrast unilateral (73206) |
$12,420 |
$12,420 |
67.8× |
| Dilation ureters/urethra rs&i (74485) |
$6,971 |
$6,971 |
3.2× |
| Esophogram (74220) |
$2,455 |
$2,455 |
13.4× |
| Fetal biophysical profile non-stress testing (76818) |
$3,592 |
$3,592 |
32.9× |
| Fetal biophysical profile w/o nst (76819) |
$3,369 |
$3,369 |
30.9× |
| Fluoroscopy up to 1 hour physician/qhp time (76000) |
$2,052 |
$2,052 |
8.2× |
| Gastric emptying study (78264) |
$5,529 |
$5,529 |
13.2× |
| Gated heart planar single (78472) |
$6,825 |
$6,825 |
16.3× |
| Heart infarct image (78466) |
$6,053 |
$6,053 |
14.5× |
| Hepatobil syst image w/drug (78227) |
$10,014 |
$10,014 |
17.7× |
| Hepatobiliary system imaging (78226) |
$7,514 |
$7,514 |
18.0× |
| Humerus min 2 views (73060) |
$1,523 |
$1,523 |
16.8× |
| Hysterosalpingography (74740) |
$2,215 |
$2,215 |
8.9× |
| Ivp w tomography (74415) |
$3,760 |
$3,760 |
20.5× |
| Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) |
$7,498 |
$7,498 |
13.2× |
| Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) |
$9,810 |
$9,810 |
17.3× |
| Liver & spleen; static only (78215) |
$6,825 |
$6,825 |
16.3× |
| Lung perfusion differential (78597) |
$2,308 |
$2,308 |
5.5× |
| Lung ventilat&perfus imaging (78582) |
$12,507 |
$12,507 |
22.1× |
| Lung ventilation imaging (78579) |
$6,486 |
$6,486 |
15.5× |
| Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) |
$13,372 |
$13,372 |
36.7× |
| Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) |
$10,813 |
$10,813 |
29.7× |
| Mammary ductogram multiple ducts (77054) |
$7,582 |
$7,582 |
30.4× |
| Mammary ductogram single (77053) |
$5,418 |
$5,418 |
21.7× |
| MRA head w & w/o contrast (70546) |
$12,857 |
$12,857 |
35.3× |
| MRA head w/contrast (70545) |
$11,620 |
$11,620 |
31.9× |
| MRA head w/o contrast (70544) |
$5,576 |
$5,576 |
22.4× |
| MRA neck w/contrast (70548) |
$3,671 |
$3,671 |
10.1× |
| MRA neck w/o contrast (70547) |
$5,576 |
$5,576 |
22.4× |
| MRA neck w/wo contrast (70549) |
$6,302 |
$6,302 |
17.3× |
| MRI abdomen w/contrast (74182) |
$8,218 |
$8,218 |
22.6× |
| MRI abdomen w/o & w/contrast material (74183) |
$14,217 |
$14,217 |
39.0× |
| MRI abdomen w/o contrast (74181) |
$8,780 |
$8,780 |
35.2× |
| MRI any jnt lwr ext with con lt (73722) |
$10,786 |
$10,786 |
13.2× |
| MRI breast without contrast bilateral (77047) |
$8,380 |
$8,380 |
33.6× |
| MRI cervical spine w/o contrast (72141) |
$11,666 |
$11,666 |
46.8× |
| MRI cervical spine with contrast (72142) |
$14,413 |
$14,413 |
39.6× |
| MRI chest w & w/o contrast (71552) |
$13,787 |
$13,787 |
37.8× |
| MRI chest w/contrast (71551) |
$8,380 |
$8,380 |
10.2× |
| MRI chest w/o contrast (71550) |
$9,048 |
$9,048 |
36.3× |
| MRI joint upper ext w/contrast (73222) |
$9,987 |
$9,987 |
12.2× |
| MRI joint upr extr w/o&w/dye (73223) |
$13,372 |
$13,372 |
36.7× |
| MRI joint upr extrem w/o dye (73221) |
$10,729 |
$10,729 |
43.1× |
| Mri Lower Extremity W/O Dye (73718) |
$10,315 |
$10,315 |
41.4× |
| MRI lumbar spine with contrast (72149) |
$14,326 |
$14,326 |
39.3× |
| MRI lumbar w/wo contrast (72158) |
$15,187 |
$15,187 |
41.7× |
| MRI lwr ext w/o jnts with con rt (73719) |
$10,315 |
$10,315 |
28.3× |
| MRI orbit/face/neck w/o & w/contrast (70543) |
$13,787 |
$13,787 |
37.8× |
| MRI orbit/face/neck w/o contrast (70540) |
$11,372 |
$11,372 |
45.6× |
| MRI pelvis w/o contrast (72195) |
$8,780 |
$8,780 |
35.2× |
| MRI pelvis w/wo contrast (72197) |
$13,787 |
$13,787 |
37.8× |
| MRI spine cervical wo/w contrast (72156) |
$14,803 |
$14,803 |
40.6× |
| MRI spine thoracic w/contrast (72147) |
$13,617 |
$13,617 |
37.4× |
| MRI thoracic spine w wo contrast (72157) |
$15,405 |
$15,405 |
42.3× |
| MRI thoracic spine w/o contrast (72146) |
$11,143 |
$11,143 |
44.7× |
| MRI tmj (70336) |
$9,503 |
$9,503 |
38.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$15,685 |
$15,685 |
62.9× |
| Mri Upper Extremity W/Dye (73219) |
$10,460 |
$10,460 |
28.7× |
| MRI upr ext w/o jnts w/o-w/con rt (73220) |
$11,395 |
$11,395 |
31.3× |
| Myelogram thoracic (72255) |
$9,340 |
$9,340 |
11.4× |
| Myelography 2 or more regions (72270) |
$12,451 |
$12,451 |
15.2× |
| Myelography lumbosacral (72265) |
$9,340 |
$9,340 |
11.4× |
| Myocardial spect single study at rest or stress (78451) |
$16,467 |
$16,467 |
12.2× |
| Nm bone 3 phase (78315) |
$11,117 |
$11,117 |
26.6× |
| Nm bone imaging whole body (78306) |
$10,041 |
$10,041 |
24.1× |
| Nm heart perfusion spect stress rest (78452) |
$19,549 |
$19,549 |
14.5× |
| Nm lymph system (78195) |
$2,850 |
$2,850 |
5.0× |
| Nm myocard infarct spect (78469) |
$6,053 |
$6,053 |
10.7× |
| Nm thyroid imaging only (78013) |
$4,802 |
$4,802 |
11.5× |
| Nose to rectum for fb child (76010) |
$1,219 |
$1,219 |
13.4× |
| Nuclear medicine study of salivary gland with serial images (78231) |
$1,765 |
$1,765 |
4.2× |
| Nuclear medicine study to assess blood clot in vein of both sides (78458) |
$3,516 |
$3,516 |
8.4× |
| Nuclear medicine study to assess blood clot in vein using radiolabeled peptide (78456) |
$10,051 |
$10,051 |
7.4× |
| Ob us < 14 wks single fetus (76801) |
$3,258 |
$3,258 |
29.8× |
| Ob us nuchal meas 1 gest (76813) |
$2,362 |
$2,362 |
21.6× |
| Parathyroid imaging (78070) |
$2,637 |
$2,637 |
6.3× |
| Pulmonary perfusion imaging particulate (78580) |
$6,004 |
$6,004 |
14.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) |
$2,188 |
$2,188 |
3.8× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) |
$1,371 |
$1,371 |
15.1× |
| Radex entir thrc lmbr crv sac spi w/skull 6/> vw (72084) |
$7,649 |
$7,649 |
70.1× |
| Radex hip unilateral with pelvis 1 view (73501) |
$2,890 |
$2,890 |
31.8× |
| Radex hip unilateral with pelvis 2-3 views (73502) |
$3,332 |
$3,332 |
36.7× |
| Radex hips bilateral with pelvis 2 views (73521) |
$3,457 |
$3,457 |
31.7× |
| Radex spine cervical 2 or 3 views (72040) |
$1,646 |
$1,646 |
18.1× |
| Radex spine cervical 4 or 5 views (72050) |
$2,192 |
$2,192 |
20.1× |
| Radex spine cervical 6 or more views (72052) |
$2,520 |
$2,520 |
23.1× |
| Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) |
$1,945 |
$1,945 |
21.4× |
| Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) |
$2,247 |
$2,247 |
20.6× |
| Radiologic exam esophagus double contrast study (74221) |
$2,455 |
$2,455 |
13.4× |
| Radiologic exam upr gi trc double contrast study (74246) |
$3,710 |
$3,710 |
20.3× |
| Radiologic exam upr gi trc single contrast study (74240) |
$3,710 |
$3,710 |
20.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$1,731 |
$1,731 |
19.0× |
| Radiologic examination, single plane body section (eg, tomography), other than with urography Other Diagnostic… (76100) |
$4,459 |
$4,459 |
40.8× |
| Renal cyst study (74470) |
$1,357 |
$1,357 |
2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) |
$2,850 |
$2,850 |
6.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) |
$5,034 |
$5,034 |
12.1× |
| Rp loclzj tum spect 1 area single day imaging (78803) |
$8,142 |
$8,142 |
14.4× |
| Screening digital breast tomosynthesis; bilateral (77063) |
$99 |
$99 |
4.2× |
| Shoulder arthrogram (73040) |
$3,532 |
$3,532 |
9.7× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) |
$1,847 |
$1,847 |
16.9× |
| Small bowel series (74250) |
$3,231 |
$3,231 |
17.6× |
| Testicular imaging w/flow (78761) |
$6,110 |
$6,110 |
14.6× |
| Thyroid uptake w/blood flow sngle/mult quan meas (78014) |
$7,255 |
$7,255 |
17.4× |
| Ultrasound breast limited (76642) |
$1,262 |
$1,262 |
13.9× |
| Ultrasound, abdomen limited (76705) |
$3,590 |
$3,590 |
32.9× |
| Umbilical-artery Doppler (OB) (76820) |
$3,820 |
$3,820 |
35.0× |
| Ureteral reflux study (78740) |
$3,248 |
$3,248 |
7.8× |
| Urethrocystography retrograde rs&i (74450) |
$2,038 |
$2,038 |
8.2× |
| Urethrocystography voiding (74455) |
$2,520 |
$2,520 |
10.1× |
| Urography antegrade (74425) |
$4,353 |
$4,353 |
11.9× |
| Urography retrograde w/wo kub (74420) |
$2,807 |
$2,807 |
7.7× |
| Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) |
$2,188 |
$2,188 |
11.9× |
| Us breast uni real time with image complete (76641) |
$1,262 |
$1,262 |
11.6× |
| Us chest (76604) |
$2,913 |
$2,913 |
26.7× |
| Us inft hips r-t img lmtd static phys/qhp manj (76886) |
$2,404 |
$2,404 |
26.5× |
| Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) |
$1,037 |
$1,037 |
9.5× |
| Us ob detailed single fetus (76811) |
$3,258 |
$3,258 |
13.1× |
| Us ob followup per fetus (76816) |
$2,362 |
$2,362 |
21.6× |
| Us ob limited 1 or more fetuses (76815) |
$2,571 |
$2,571 |
23.6× |
| Us obstetric transvaginal (76817) |
$3,258 |
$3,258 |
29.8× |
| Us pelvic limited or f/u non-ob (76857) |
$1,480 |
$1,480 |
13.6× |
| Us pelvis complete (76856) |
$3,599 |
$3,599 |
33.0× |
| Us retroperitoneal complete (76770) |
$3,231 |
$3,231 |
29.6× |
| Us retroperitoneal limited (76775) |
$3,254 |
$3,254 |
29.8× |
| Us scrotum (76870) |
$3,167 |
$3,167 |
29.0× |
| Us soft tissue head/neck (76536) |
$3,385 |
$3,385 |
31.0× |
| Us spinal canal (76800) |
$3,173 |
$3,173 |
29.1× |
| Us unlstd proc (76999) |
$1,574 |
$1,574 |
17.3× |
| Vascular flow imaging (78445) |
$1,563 |
$1,563 |
3.7× |
| Venography ext unilateral (75820) |
$2,406 |
$2,406 |
1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) |
$1,242 |
$1,242 |
13.7× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) |
$1,713 |
$1,713 |
18.8× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) |
$3,926 |
$3,926 |
21.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) |
$1,746 |
$1,746 |
19.2× |
| X-ray exam of finger(s) (73140) |
$1,479 |
$1,479 |
16.3× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) |
$3,231 |
$3,231 |
17.6× |
| X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) |
$1,293 |
$1,293 |
14.2× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$1,646 |
$1,646 |
18.1× |
| X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) |
$1,281 |
$1,281 |
11.7× |
| X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) |
$1,579 |
$1,579 |
17.4× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$1,520 |
$1,520 |
16.7× |
| X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) |
$1,097 |
$1,097 |
12.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) |
$1,731 |
$1,731 |
15.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$1,960 |
$1,960 |
18.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$3,762 |
$3,762 |
34.5× |
| X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) |
$2,455 |
$2,455 |
22.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$1,871 |
$1,871 |
20.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$3,579 |
$3,579 |
32.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) |
$1,785 |
$1,785 |
16.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$1,785 |
$1,785 |
19.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$1,746 |
$1,746 |
19.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) |
$2,493 |
$2,493 |
27.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$2,686 |
$2,686 |
24.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$1,487 |
$1,487 |
13.6× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) |
$957 |
$957 |
10.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) |
$1,293 |
$1,293 |
14.2× |
| X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) |
$1,242 |
$1,242 |
13.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) |
$1,518 |
$1,518 |
16.7× |
| Xr abdomen 1 view (74018) |
$1,340 |
$1,340 |
14.7× |
| Xr abdomen 2 views (74019) |
$1,843 |
$1,843 |
16.9× |
| Xr abdomen 3 views (74021) |
$1,843 |
$1,843 |
16.9× |
| Xr arthrogram ankle (73615) |
$3,532 |
$3,532 |
9.7× |
| Xr arthrogram elbow (73085) |
$3,532 |
$3,532 |
9.7× |
| Xr arthrogram hip (73525) |
$3,532 |
$3,532 |
9.7× |
| Xr bone density appendicular (77081) |
$429 |
$429 |
4.7× |
| Xr bone density axial (77080) |
$429 |
$429 |
3.9× |
| Xr bone length study (77073) |
$2,652 |
$2,652 |
24.3× |
| Xr bone survey infant (77076) |
$2,806 |
$2,806 |
25.7× |
| Xr chest 1 view (71045) |
$1,053 |
$1,053 |
11.6× |
| Xr chest 2 views (71046) |
$1,547 |
$1,547 |
17.0× |
| Xr chest 3 views (71047) |
$2,214 |
$2,214 |
24.4× |
| Xr cystogram 3+ views (74430) |
$2,038 |
$2,038 |
5.6× |
| Xr eye foreign body (70030) |
$1,046 |
$1,046 |
11.5× |
| Xr facial bones 3 views (70150) |
$1,298 |
$1,298 |
11.9× |
| Xr lower extremity 2 views infant (73592) |
$1,643 |
$1,643 |
18.1× |
| Xr lumbar spine 4 views w/ flex ext (72120) |
$2,118 |
$2,118 |
19.4× |
| Xr mandible 4 views (70110) |
$1,431 |
$1,431 |
13.1× |
| Xr myelogram c-spine (72240) |
$9,340 |
$9,340 |
11.4× |
| Xr nasal bones (70160) |
$1,717 |
$1,717 |
18.9× |
| Xr spine 1 view (72020) |
$1,646 |
$1,646 |
18.1× |
| Xr sternum 2 views (71120) |
$1,885 |
$1,885 |
20.7× |
| Xr surgical specimen (76098) |
$396 |
$396 |
0.7× |
| Xr upper extremity 2 views infant (73092) |
$1,618 |
$1,618 |
14.8× |
| Xray elbow 2 views (73070) |
$1,358 |
$1,358 |
14.9× |
| Xray forearm 2 views (73090) |
$1,646 |
$1,646 |
18.1× |
| Xray knee 1 or 2 views rt (73560) |
$1,382 |
$1,382 |
15.2× |
| Xray neck soft tissue (70360) |
$1,512 |
$1,512 |
16.6× |
| Xray orbits complete min 4 views (70200) |
$2,338 |
$2,338 |
21.4× |
| Xray pelvis 1 or 2 views (72170) |
$1,670 |
$1,670 |
15.3× |
| Xray ribs bilateral 3 views (71110) |
$2,505 |
$2,505 |
22.9× |
| Xray ribs unilat w/ pa chest 3v rt (71101) |
$2,119 |
$2,119 |
19.4× |
| Xray scapula complete (73010) |
$1,698 |
$1,698 |
15.6× |
| Xray shoulder 1 view (73020) |
$1,471 |
$1,471 |
16.2× |
| Xray spine thoracic 2 views (72070) |
$1,751 |
$1,751 |
16.0× |
| Xray spine thoracic 3 views (72072) |
$1,861 |
$1,861 |
17.0× |
| Xray tibia-fibula 2 views bil (73590) |
$1,753 |
$1,753 |
19.3× |
| Xray tmj's bilateral open-clsc (70330) |
$1,611 |
$1,611 |
17.7× |